Incidence and Most Common Organism Associated Post Caesarean Surgical Site Wound Infection at Khairpur Medical College (Teaching Hospital)

Abstract

Objective: To determine the incidence and most common organism associated post caesarean surgical site wound infection at Khairpur medical college (Teaching hospital). Study design: Descriptive case series study. Settings: Department of Gynecology, Khairpur Medical College. Duration: Six months from 01-01-2018 to 30-06-2018. Methodology: The females of age 20 to 40 years undergoing caesarean section at the same institute were included. These cases were then followed at 1^st week after the C section and the wound site was examined for the presence of any organism detected and their pattern of isolation of culture media. Results: In this study there were total 2745 cases. The mean age of the participants was 32.48±8.73 years and mean BMI was 27.11±2.46 kg/m² (table I). Out of these 2745 cases, 780 (28.41%) cases underwent C section in six months with an average incidence of 130 cases per month. Wound infection in these cases undergoing CS was seen in 53 (6.79%) out of 780 cases (table II). The most common organism detected was Staph Aureus which was seen in 16 (30.1%) of the cases. It was followed by E coli affecting 12 (22.6%) and P Aeruginosa and Klebsiella affecting 13.2% and 11.3% cases each. Conclusion: Infection after C section is common and the most common organism detected is staph aureus.